低质量证据强推荐意见在中国护理实践指南中的现状分析

目的 分析中国护理实践指南中对低质量证据给予强推荐的现状。方法 计算机检索中国生物医学文献数据库（CMB）、中国期刊全文数据库（CNKI）、万方数据库（Wan Fang）、维普中文科技期刊数据库（VIP）以及复旦大学护理中心循证实践资源中的护理实践指南,并对纳入文献的参考文献进行手动补充检索。检索时限为2010年7月28日—2020年7月28日。由2位评价员按照研究纳排标准独立筛选指南及资料提取。结果 本研究共纳入指南15篇,总形成推荐意见778条,其中低/极低证据质量强推荐的条目达256（32.9%）条,40.0%（6/15）的指南低/极低质量强推荐条目超过总推荐意见条目的50%。结论 虽然目前国内临床护理实践指南的制订质量已有长足进步,但指南制订过程中推荐意见质量及推荐强度的确定仍需进一步规范。

Current Status of Recommendation of Low-quality Evidence in Chinese Nursing Practice Guidelines

Objective To analyze the current status of strong recommendation of low-quality evidence in Chinese nursing practice guidelines. Methods We retrieved nursing practice guidelines from July 28, 2010 to July 28, 2020 in databases of CMB, CNKI, Wanfang Data, VIP and Nursing Resources Center of Fudan University, and a manual supplementary search was carried out for the references included in the literature. Independent screening and data extraction were performed by 2 evaluators according to the inclusion criteria. Results Sixteen guidelines were included in this study, and a total of 778 recommendations were formed, among which 256 (32.9%) items with low/very low evidence quality were strongly recommended, and 40.0%(6/15) items with low/very low quality were strongly recommended, accounting for more than 50% of the total recommendations. Conclusion Although we have made great progress in terms of the quality of clinical nursing practice guidelines in China, the quality and intensity of recommendations still need to be further standardized.